| Abstrakt: |
Aim: To evaluate the outcomes of patients with vascular ulcers in outpatient settings after the implementation of the integrated computerized medical record. The computerization of care pathways can influence the clinical outcomes of hospitalized patients and represent a useful tool in the continuity of care of patients from hospitalization to the specialist outpatient clinic, filling an information and communication gap, up to promoting home management. Method: A computerized medical-nursing outpatient file was implemented at a university hospital, containing initial assessments, re-evaluations, treatments, photographs with vascular lesions, elaborated on the current TIMERS ® guidelines and principles and shared with the vascular surgeon. It also includes medical history, allergies, diagnostic reports, drug therapy, blood tests, pain assessment (NRS scale), lesion size and specialist advice. Results: 80 patients were taken care of from discharge in the Nursing Outpatient Clinic for continuity of care from September 2022 to December 2022. The sharing of clinical-assistance information between the two services and healthcare professionals (vascular surgeon and nurses specialized in wound care) creating a direct communication bridge between the professionals involved and allowed users to benefit from continuity, reducing treatment times and outpatient visits and improving the wound healing process. Conclusions: The patients benefited from a clinical and organizational integration of their treatment path, allowing constant monitoring of the vascular lesion and directly collecting the information necessary for the continuation of the therapeutic process. Finally, it allows the professionals involved to analyze aggregated data of the followed users in real time. [ABSTRACT FROM AUTHOR] |
